From: Rationale and proposed framework for shared decision making in cardio-oncology
Which poses a greater threat to the patient’s survival and quality of life, cancer or heart disease? |
Is long term survival a realistic goal or would a shift in goals of care to focus on quality of life be more successful in your clinical opinion? |
What is the risk/benefit ratio of proposed interventions from an oncologic and cardiac standpoint, and how might they conflict with each other? |
To what extent might lifestyle interventions supplant the need for pharmacotherapy, and how willing and able might the patient be to adopt lifestyle changes? |